Eric L Brandenburg (NPI# 1659820835, PAC ID# 7315227873) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1659820835 |
| PAC ID by PECOS | 7315227873 |
| Professional Enrollment ID | I20171007000026 |
| Full Name | Eric L Brandenburg |
| Organization Legal Name | MEDFAST URGENT CARE CENTERS LLC |
| Address |
3045 Columbia Blvd Suite A108 Titusville FL 32780-7864 |
| Phone Number | 3212686822 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1052418837 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 390 N Courtenay Pkwy, Merritt Island, FL 32953-3456 | 3216333162 | MEDFAST URGENT CARE CENTERS LLC |
| 5005 Port St John Pkwy, Port St John, FL 32927-4305 | 3215040556 | MEDFAST URGENT CARE CENTERS LLC |
| 1400 Rockledge Blvd, Rockledge, FL 32955-2846 | 3217358960 | MEDFAST URGENT CARE CENTERS LLC |
| 3045 Columbia Blvd, Suite A108, Titusville, FL 32780-7864 | 3212686822 | MEDFAST URGENT CARE CENTERS LLC |
| Organization Legal Name | MEDFAST URGENT CARE CENTERS LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholle C Rothengass | Physician Assistant | Medfast Urgent Care Centers LLC | 3045 Columbia Blvd, Suite A108, Titusville, FL 32780-7864 |
| Mary Ann Davidson | Nurse Practitioner | Medfast Urgent Care Centers LLC | 275 W Cocoa Beach Aswy, Cocoa Beach, FL 32931-3529 |
| Wayne E Hall | Physician Assistant | Medfast Urgent Care Centers LLC | 1000 S Ridgewood Ave, Edgewater, FL 32132-2333 |
| Sherri Enders | Nurse Practitioner | Medfast Urgent Care Centers LLC | 206 E New Haven Ave, Melbourne, FL 32901-4504 |
| Darren M Mayer | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Carlos Martinez Solis | Internal Medicine | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Currin Nichol | Family Medicine | Medfast Urgent Care Centers LLC | 7925 N Wickham Rd, Suite A, Melbourne, FL 32940-8299 |
| Melinda A Cobb | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Richard M Bost | Emergency Medicine | Medfast Urgent Care Centers LLC | 5005 Port St John Pkwy, Port St John, FL 32927-4305 |
| Manuel D Gonzalez | Nurse Practitioner | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Street Address |
3045 COLUMBIA BLVD SUITE A108 |
| City | TITUSVILLE |
| State | FL |
| Zip | 32780-7864 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholle C Rothengass | Physician Assistant | Medfast Urgent Care Centers LLC | 3045 Columbia Blvd, Suite A108, Titusville, FL 32780-7864 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Deballi Iii | Anesthesiology | Sheridan Healthcorp Inc | 814 S Washington Ave, Titusville, FL 32780-2406 |
| Dillon Stephen Smith | Optometry | Michael J Kutryb Md Pa | 730 S Washington Ave, Titusville, FL 32780-4232 |
| Michael Kutryb | Ophthalmology | Michael J Kutryb Md Pa | 730 S Washington Ave, Titusville, FL 32780-4232 |
| Kiri J Rutledge | Optometry | Michael J Kutryb Md Pa | 730 S Washington Ave, Titusville, FL 32780-4232 |
| Darren M Mayer | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Melinda A Cobb | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Manuel D Gonzalez | Nurse Practitioner | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Michael M Cooper | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Emily Leech | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Susan M Hatfield | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Find all physicians in zip 32780 | |||
| City | TITUSVILLE |
| Zip Code | 32780 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TITUSVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Eric L Brandenburg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.